| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,384.00 | $10,693.00 | $17,884.88 | |
Moda Health
| Facility | $473.92 | $3,106.73 | $40,836.94 | |
Providence
| Facility | $473.92 | $3,106.73 | $40,836.94 |
Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recanulization/dilatation, stent placement and all associated imaging guidance and documentation)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,384.00 | $10,693.00 | $17,884.88 | |
Moda Health
| Facility | $473.92 | $3,106.73 | $40,836.94 | |
Providence
| Facility | $473.92 | $3,106.73 | $40,836.94 |